MRS. JESSICA MARIE JACOB LMFT
NPI 1558994475
Marriage & Family Therapist in San Diego, CA

Active since February 19, 2020PECOS Enrolled
4540 KEARNY VILLA RD STE 103, SAN DIEGO, CA 92123(858) 279-1223 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2024, Jul 22, 2024, Jun 16, 2023 and 1 more (4 updates tracked since 2020).

About Mrs. Jessica Marie Jacob Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JESSICA MARIE JACOB LMFT (NPI 1558994475) is an individual marriage & family therapist in San Diego, California, licensed in California (133784) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558994475
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. JESSICA MARIE JACOBCredential: LMFT
Location Address4540 KEARNY VILLA RD STE 103San Diego, CA 92123-1564
Mailing Address4540 Kearny Villa Rd Ste 103San Diego, CA 92123-1564
Sole ProprietorNo
Enumeration DateFebruary 19, 2020
Last NPPES UpdateNovember 26, 20244 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
NPI 1558994475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 133784
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

4540 KEARNY VILLA RD STE 103, San Diego, CA 92123

Other Names 1

Former Name (1)Jessica Marie Cormier

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Jessica Marie Jacob Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
4540 KEARNY VILLA RD STE 103
SAN DIEGO, CA 92123
Marriage & Family Therapist
4540 KEARNY VILLA RD STE 103
SAN DIEGO, CA 92123
Community/Behavioral Health
4540 KEARNY VILLA RD STE 103
SAN DIEGO, CA 92123
Psychologist (Clinical)
4540 KEARNY VILLA RD STE 103
SAN DIEGO, CA 92123
Psychologist (Clinical)
4540 KEARNY VILLA RD STE 103
SAN DIEGO, CA 92123
Nurse Practitioner (Psychiatric/Mental Health)
4540 KEARNY VILLA RD STE 103
SAN DIEGO, CA 92123
Marriage & Family Therapist
4540 KEARNY VILLA RD STE 103
SAN DIEGO, CA 92123
Psychiatry & Neurology (Psychiatry)
4540 KEARNY VILLA RD STE 103
SAN DIEGO, CA 92123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Jacob's NPI number?

The NPI number for Jessica Jacob is 1558994475. It was assigned to this individual provider in the NPPES registry on February 19, 2020. The provider is also known as Jessica Marie Cormier.

Where is Jessica Jacob located?

Jessica Jacob practices at 4540 Kearny Villa Rd Ste 103, San Diego, CA 92123. The listed phone number is (858) 279-1223.

What is Jessica Jacob's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jessica Jacob enrolled in Medicare?

Yes. Jessica Jacob is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Jacob was last updated on November 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.